Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Abtin Etezadi-Tabrizi, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1366601866

Dr. Abtin Etezadi-Tabrizi, DMD is an Oral Surgery in Sioux Falls, South Dakota. Graduated from Medical College of Georgia School of Medicine in 2008, 18 years ago. Licensed in South Dakota.

Years since qualifying
18
Trained at
Medical College of Georgia School of Medicine
Licensed in
SD
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1700 S Southeastern Ave
Sioux Falls, SD 57103-3227
Phone: (605) 331-5059
Fax: (605) 275-6725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D1506 (SD)

Record details

NPI number1366601866
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 9, 2008
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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